Diabetes Medication Use and Blood Lactate Level among Participants with Type 2 Diabetes: The Atherosclerosis Risk in Communities Carotid MRI Study

Autor: Maria Inês Schmidt, Morgana Mongraw-Chaffin, Brad C. Astor, Stephen O. Crawford, Kunihiro Matsushita, J. H Young, Ron C. Hoogeveen, Christie M. Ballantyne, Josef Coresh, Frederick L. Brancati
Rok vydání: 2012
Předmět:
Blood Glucose
Male
Anatomy and Physiology
Mitochondrial Diseases
Aterosclerose
Epidemiology
medicine.medical_treatment
lcsh:Medicine
Type 2 diabetes
030204 cardiovascular system & hematology
Cohort Studies
Diabetes mellitus
Endocrinology
0302 clinical medicine
Risk Factors
Blood plasma
Insulin
Medicine
Thiazolidinedione
lcsh:Science
Ácido láctico
Aged
80 and over

Multidisciplinary
Middle Aged
Metformin
3. Good health
Female
Research Article
medicine.drug
medicine.medical_specialty
medicine.drug_class
Endocrine System
030209 endocrinology & metabolism
Diabetes Complications
03 medical and health sciences
Insulin resistance
Internal medicine
Humans
Hypoglycemic Agents
Lactic Acid
Aged
Clinical Genetics
Diabetic Endocrinology
Glycated Hemoglobin
Endocrine Physiology
business.industry
lcsh:R
Diabetes Mellitus Type 2
Atherosclerosis
medicine.disease
Survey Methods
Cross-Sectional Studies
Diabetes Mellitus
Type 2

Metabolic Disorders
lcsh:Q
Thiazolidinediones
Preparações farmacêuticas
Physiological Processes
Energy Metabolism
business
Body mass index
Zdroj: PLoS ONE
PLoS ONE, Vol 7, Iss 12, p e51237 (2012)
Repositório Institucional da UFRGS
Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0051237
Popis: Background The objective of this study is to compare lactate levels between users and non-users of diabetes medications under the hypothesis that the level of lactate is a marker of oxidative capacity. Methods The cross-sectional data of 493 participants aged 61–84 with type 2 diabetes who participated in the Atherosclerosis Risk in Communities Carotid MRI study were analyzed using survey weighted linear regression. Results Median plasma lactate level was 8.58 (95% CI: 8.23, 8.87) mg/dl. Comparing users of diabetic medications with non-users, thiazolidinedione use was significantly associated with lower lactate level (7.57 (6.95–8.25) mg/dL vs. 8.78 (8.43–9.14) mg/dL), metformin use with a slightly higher lactate level (9.02 (8.51–9.58) mg/dL vs. 8.36 (7.96–8.77) mg/dL), and sulfonylurea and insulin use were not associated with lactate level. After adjustment for demographic and lifestyle factors, the plasma lactate level for thiazolidinedione users was 15.78% lower than that for non-users (p
Databáze: OpenAIRE